We don't choose our families and yet these are the most important relationships in our lives. But because they are so familiar, we get into patterns of thought and communication that can be frustrating at best and destructive at worst. Negotiating rules, debating fairness, adjusting to a new family structure, sibling rivalries, dealing with loss differently and divvying up chores and responsibilities are only some of the areas that can lead to frustration in families. Sometimes it takes a third party to point out the parts each person plays in the script and to suggest new ways of approaching family life. It can be helpful to have a therapist keeping track of what changes are being attempted to spotlight effort and give nudges when needed.

Many families are struggling in today's economy, and I'm happy to offer a sliding scale.